Wilson Senior Care enjoyed stability and growth in the skilled nursing industry in South Carolina beginning in 1947 and through to the present day. The company has evolved into an award-winning provider of rehabilitation and nursing services for patients coming from acute care and for the elderly. The ownership-mentality of the employees, stemming from the Employee Stock Ownership Program (ESOP) provided each and every staff member the autonomy and incentive to provide the very best care for the patient. Because Wilson’s nursing homes were community-based, pride of service and the sense of empowerment through ownership ensured the continued high quality in each facility. In pondering the future of the organization, the leadership team wondered if the strong culture and commitment of its employees could be leveraged to open yet another nursing home without compromising the integrity of the brand. This case study is part of the CLEO Case Studies Collection. Discussion questions included.